HomeMy WebLinkAboutFilled Land AffidavitPLANNING & DEVELOPMENT SERVICES DEPARTMENT
Building & Code Regulations Division
2300 VIRGINIA AVENUE
FORT PIERCE, FL 34982-5652
(772) 462-1553 RECEIVED
FILLED LAND AFFIDAVIT
FEB 21 ('520
ST. Lucie County, Permitting
I, the undersigned, am the owner of the following described property,
3921'5-0)'6003.000-? 1;-54 sq'AI (feek) S ddw,:I
(Parcel IdH/Legal description/Address)
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for which I have applied to St. Lucie County for a Final Development Permit. In
accepting this Final Development Permit, BP Number i$69 -Xg , I acknowledge
that as owner of the above described property, and in accordance with Section
7.04.01(D), St. Lucie County Land Development Code, I shall be responsible for assuring
adequate drainage so that the immediate community WILL NOT be adversely affected.
I further acknowledge that in granting this permit for the development of this property,
St. Lucie County is neither obliged nor liable to provide for, or maintain in any form,
adequate drainage off my property which will not adversely affect the immediate
community.
1)
Prope er Name (Please Print)
Property Owner Signature Date
STATE OF FLORIDA, COUNTY OF J 1. LUC-le
ACKNOWLEDGED BEFORE ME THIS DAY OF L�1.C4'rir .2020
BY WHO IS PERSONALLY KNOWN TO ME4 OR WHO HAS
PRODUCED
G ATURE OF NOTARY PUBLIC
COMMISSION NUMBER
SLCPDSD Reviud 04/112011
IDENTIFICATION.
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TYPE OR PRINT NOTARY
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h: MY Coltit9SSION t FF 97.02�
EXPIRES: January 19. 2020
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